NPIMap

Organization Active NPI

Terri L Mishler Psy D PC

  • Psychologist
  • Beaverton, OR
National Provider Identifier
1104158112
Registry record updated Feb 2, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
811 Issued in OR
Legal business name
TERRI L MISHLER PSY D PC
Practice address
12725 SW Millikan Way
Suite 280
Beaverton, OR 97005-1678
Phone
(503) 526-2917
Fax
(503) 641-4558
NPI assigned
Feb 2, 2010
Last updated
Feb 2, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 2, 2010

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Terri Lynn Mishler, PSYDNPI 1639109895
Title
Owner
Phone
(503) 526-2917

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103T00000X 811 OR Primary

Addresses

Primary practice location

12725 SW Millikan Way
Suite 280
Beaverton, OR 97005-1678

Mailing address

12725 SW Millikan Way
Suite 280
Beaverton, OR 97005-1678
Phone (503) 526-2917

National Provider Directory

National Provider Directory

Locations

12725 SW Millikan Way
Ste 280
Beaverton, OR 97005
Phone (503) 526-2917

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1265068800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1265068800000",
    "number": "1104158112",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12725 SW MILLIKAN WAY",
            "address_2": "SUITE 280",
            "city": "BEAVERTON",
            "state": "OR",
            "postal_code": "970051678",
            "telephone_number": "503-526-2917",
            "fax_number": "503-641-4558"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12725 SW MILLIKAN WAY",
            "address_2": "SUITE 280",
            "city": "BEAVERTON",
            "state": "OR",
            "postal_code": "970051678",
            "telephone_number": "503-526-2917",
            "fax_number": "503-641-4558"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TERRI L MISHLER PSY D PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-02-02",
        "last_updated": "2010-02-02",
        "status": "A",
        "authorized_official_last_name": "MISHLER",
        "authorized_official_first_name": "TERRI",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "503-526-2917",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSYD"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": "OR",
            "license": "811",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beaverton, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.